Community Participation Among Individuals with Serious Mental Illnesses Leaving Jail
Studies have found that higher levels of community participation are associated with a number of positive outcomes such as increased recovery and quality of life. People with serious mental illnesses (SMI) leaving jail face a number of barriers that limit their ability to participate in community activities. In this paper we examine whether the combined experience of mental illness and recent discharge from jail furthers the community isolation that is already experienced by individuals with serious mental illnesses. This analysis found that people with SMI recently released from jail had significantly lower levels of community participation in terms of overall number of community participation days and activities, number of time spent in activities individuals identified as important, and on measures of sufficiency related to the time spent engaged in these activities. Community participation is a key component of community re-integration for people with SMI leaving jail. The results of this study show that services for people with SMI leaving jail need to include interventions that foster engagement in community based activities.
KeywordsCommunity participation Mental illnesses Incarceration
The contents of this publication were developed under a grant from the U.S. Department of Education, National Institute on Disability and Rehabilitation Research (NIDRR) grant H133B100037 (Salzer, Principal Investigator). NIDRR is now the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR) within the U.S. Department of Health and Human Services. The contents of this work do not necessarily represent the policy or indicate endorsement of any federal government agency.
- 2.Flynn R, Aubry T. Integration of persons with developmental or psychiatric disabilities: Conceptualization and measurement. In: Flynn RJ, Lemay R, editors. A Quarter-Century of Normalization and Social Role Valorization: Evolution and Impact. Ottawa: University of Ottawa Press; 1999. p. 271–303.Google Scholar
- 3.Salzer MS, Baron RC, Menkir SMA, Breen L. Community integration practice: Promoting life in the community like everyone else. In: Nemec P, Furlong Norman K, editors. Best practices in psychiatric rehabilitation. McLean: United States Psychiatric Rehabilitation Association; 2014. p. 219–36.Google Scholar
- 4.Salzer MS, Baron RC. Community integration and measuring participation. Philadelphia, PA: University of Pennsylvania Collaborative on Community Integration. 2006. http://tucollaborative.org/pdfs/Toolkits_Monographs_Guidebooks/measuring_community_inclusion/CI_and_Measuring_Participation.pdf.
- 5.World Health Organization. (2001). ICF: International classification of functioning, disability, and health. Geneva, Switzerland: World Health Organization. 2001. http://www.who.int/entity/classifications/icf/icf_more/en/.
- 8.Burns-Lynch W, Brusilovskiy E, Salzer MS. An empirical study of the relationship between community participation, recovery, and quality of life of individuals with serious mental illnesses. Israel J of Psych. 2016;53(1):46–55.Google Scholar
- 16.Sheehan DV, Lecrubier Y, Sheehan KH, Amorim P, Janavs J, Weiller E, Hergueta T, Baker R, Dunbar GC. The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychiatry. 1998;59(Suppl 20):22–33.PubMedGoogle Scholar